07-105012s
City of Federal Way Electrical Permit #• 07-105012-00-F.L
Community Development Services •
P.O. Box 9718
Federal`Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: MY GYM
Project Address: 1414 S 324TH ST Suite B206 IonParcel Number: 150050 0080
Project Description: Install low -voltage voice & data cabling.
Owner
Applicant
Contractor
CKA EMERSON LLC
CKA EMERSON LLC
CKA EMERSON LLC
CKA EMERSON LLC
3550 BYRON ST SUITE A
3550 BYRON ST SUITE A
3550 BYRON ST SUITE A
SILVERDALE WA 98383
SILVERDALE WA 98383
SILVERDALE WA 98383
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Low Voltage - Other CommerciaL. 200
PERMIT, EXPIRES Th
I hereby certify that the
the occupancy and thl
Owner or agent:
rsday, September 4, 2008
lay, September 10, 2007
I that the construction on the above described property and
the laws, rules and regulations of the State of Washington
of Federal Way.
Date: v U
4
a
THIS CARD IS TO REMAIN ON-SITE'
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105012 -00 -EL
Owner: CKA EMERSON LLC
Address: 1414 S 324TH ST Suite 8206
FEDERAL WAY, WA 98003-6001
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
By
Date
❑
Temporary Power (4275)
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Rough Electrical (4225)
❑ Ceiling Cover (4020)
❑ Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date? .2V f�z
❑
By
UFER Ground (4295)
Approved
Date
For inspector reference only
Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date �j'a
INSPECTION NOTICE
ADDRESS:
IF YOU HAVE ANY QUESTIONS CALL /f6`V (253) 835- 22-6 3
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
-/3 6�
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page 2 of I __
Building Division
CITY OF
33325 Eighth Avenue South
Box 9718
Federal Way •
Fe
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS:
IF YOU HAVE ANY QUESTIONS CALL /f6`V (253) 835- 22-6 3
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
-/3 6�
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page 2 of I __
a"« RECEIVE®
Frai�y. PERMIT
0,T sj0NAffvA:VS60PAB"jmwvNCSSCEP 1 0 2007'
ssszs evua soulH • POBox 97
J YFWt99718 � LI CATI O N
• Y OF FEOERALVDA
BUILDING DEPT.
The jollou*W is required LVormation - an incomplete application will not be
0 1�
Z -QL�-
SF MF COM EL DE EN PP
Pd. Please print. (nleinkl or
ITE ADDRESS _I "T L4
SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # _ _ — —,, (,�, — — f LOT SIZE (s,� 3 i
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Y�iCJ � (1
run&••r a•rne•�•�eu hu++d«oi�l
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ZECTRICAL
UMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of included on thio nermit nnhd
PROJECT. NAME (Name ofBusiness or Owner Last Name)
PROPERTY
OWNER
APPLICANT
PROJECT
CONTACT
v
LENDER
EXISTING USE
1 -
BER
EXISTING ASSESSED/APPRAISED VALUE
SPRMKLERED BUILDING?
VATER SERVICE
SEWER SERVICE
PROPOSED USE
7E OF PROPOSED WORK $
O NO FIRE SUPPRESSION
❑ LAKEHAVEN O HIGHLINE ❑ TACOMA
0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE
(WELL)
❑ YES ❑ NO
Per MW 19.27.095:
Lender information is required i%profect value exceeds $s,000
MAIIdNCIADDR
CM, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE
SPRMKLERED BUILDING?
VATER SERVICE
SEWER SERVICE
PROPOSED USE
7E OF PROPOSED WORK $
O NO FIRE SUPPRESSION
❑ LAKEHAVEN O HIGHLINE ❑ TACOMA
0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE
(WELL)
❑ YES ❑ NO
PROJECT •••
AREA DESCRIPTION
AREAS
EXISTING
SO;FT.
PROPOSED
SQ.FT.
TOTAL
SQ. FT.
BASEMENT
SHOWERS
XLECTRIC W ER HEATERS
SINKS
FIRST
SUMPS
CHANGE OF USE?
SECOND
a NO
NEW ADDRESS REQUIRW?
o YES a NO
THIRD
a YES
o NO
PLATTED LOT?
ADDITIONAL FLOG RISE)
DEMO PERMIT REQUIRED?
o YES
o NO.
DECK (❑ COVERED OR ❑ UN RED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
snsras
rsoraaso
rOT'�
7O7ALsaf'ar°u
rozesnroroassu
roreru
**NEWHOMES ONLY'"' . NUMBER OF BEDROO S ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or acted as part of this project. Do not include existing fixtures to remain.
MECU4MCAL T
Value of Mechanical Work $ (A COPY BID OR ESTIMATE MUST •BE INCLUDED WITHAPPLIC;A?70NJ
AIR HANDLING UNITS EV RATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS ANS (SAS WATER HEATERS T_ MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS pemmerdeq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (orT4b/ ,moo)
LAVS (oath. sunt
DISHWASHERS
RAINWATER SYST
DRINKING FOU AINS
SHOWERS
XLECTRIC W ER HEATERS
SINKS
HOSE BIB
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (reo q
WASHINO MACHINES
MISC (Describe)
1 eertVy under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 cer ft that to the best of my
knowledge, the information submitted in support of this permit application is true and correcA I e
able
City of Yederal.Way regulations pertainingto the work au Mihl that I watt he isjg ante. o f his permit
by the issuance of a permit. I understand that the. tasuanee of this permit
does not remove the owner's responsibility for compliance to f, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless �js City of le Way to any claim (including costs, expenses, and attorneys' foes incurred in the
investigation and dtlfense of ch e h which meq► mad any person, Including the undersigned, and flied against the city, but only
where such claim arises ou f ante o e{ , ine Ing its officers and employees, upon the accuracy of the information supplied to
the city as apart of ylis lica�
SIGNATURE:
Authorized
D/0
o NEW a ADDITION
a ALTERATION.
o REPAIR a TENANT IMPROVEMENT
BUH.DING SHELL ONLY?
a YES. a NO
BASIC PLAN?
0 YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRW?
o YES a NO
IIP/SEPA/SII?
a YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES
o NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Pennit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESMR1ff AL SERVICE
❑ Single Family Square Feet
(First 1300 tr- $111.00; Each add% 500 W- $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY (three units or more)
Service or Feeder
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
❑ 201- 400 amp
149.50
74.00
❑ 401 - 600 amp
205.00
102.00
❑ 601- 800 amp
262.00
140.50
❑ Over 800 amp
375.60
280.50
ALTERED SINGLE/MULTI FAMILY
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Addb circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCLII./INDUSTRIAL 8ERVICE
Service or Feeder Each Add'it
❑ 0 to 100 amp $120.50. $ 74.00
0 101- 200 amp 149.50 94.50
❑ 201- 400 amp 280.00 111.00
❑ 401- 600 amp 327.00 131.00
❑ 601- 800 amp 423.00 179.00
❑ 801-1000 amp 516.50 216.06
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Servicb or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Ll MOBILE
Service or Feeder
❑ 0 to 200 amp
$ 92.50
❑ 201 - 600 amp
149.50
❑ over 600 amp
225.50
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Addb circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCLII./INDUSTRIAL 8ERVICE
Service or Feeder Each Add'it
❑ 0 to 100 amp $120.50. $ 74.00
0 101- 200 amp 149.50 94.50
❑ 201- 400 amp 280.00 111.00
❑ 401- 600 amp 327.00 131.00
❑ 601- 800 amp 423.00 179.00
❑ 801-1000 amp 516.50 216.06
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Servicb or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ # of circuits to be added/altered
(1-5 circuits - $94.50; Add"n circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Ll MOBILE
ResidentiaWuUi-Family
$65.00
of service or feeders
(First service/feeder-$74.00; each add'n -$48.00)
ConwwrciaWndustrial Service or Feeder Antpaeity
❑ 0 - 100 amps
$ 74,00
❑ 101- 200 amps
94.50
❑ 201- 400 amps
111.00
❑ 401 -•600 amps
149.50
❑ over 600 amps
162.00
MISCELLANEOUS SERVICE/EQUIPMENT
# of Thermostats
(First -$55:00; add'h-$17.00/ea)
Low Voltage
Square Feet to be served by systems
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
❑
/�
ln 2500MS.0:0'9&46_.91ojsp)#&ji)
vEch add17.00)•t+e► wnc2
0 # of Signs
(First sign -$55.00; add'it sign $26.00/ea)
L)-
•Swimming pool/hot tub ................ $111.00
pncludes additional circuit, if required)
❑ Yard Pole meter loops.....................$74.00
❑ Additional Plan Review $111.00/hour
(for modified submittals)
❑ Automation Fee on allPermits .. $5.00
Bulletin X1100 -August 16, 2007 Page 3 of4kVIandoutslPermit•Application